The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants.

IF 2 4区 医学 Q2 NURSING
Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI:10.1177/01939459241285697
Yanhui Ma, Junxiang Gao, Chongyang Zhang
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引用次数: 0

Abstract

Purpose: This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants.

Design and methods: This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.

Results: Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect.

Conclusion: The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.

感知到的社会支持和健康素养对中国早产儿父母的决策困境与参与共同决策之间关系的中介效应》(The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants)。
目的:本研究旨在探讨感知到的社会支持和健康素养对中国早产儿父母决策困境与参与共同决策之间关系的中介效应:这项横断面研究通过便利抽样在一家中国医院的新生儿病房招募了225名中国早产儿父母。数据收集时间为 2022 年 8 月至 2023 年 2 月,使用了 5 种自制工具。采用结构方程模型和多重中介检验来探讨感知社会支持、健康素养、决策困境和参与共同决策之间的相互作用。本研究根据加强流行病学观察性研究报告(STROBE)指南进行报告:结果:研究发现,决策困境对参与共同决策有负面影响。感知到的社会支持和健康素养被认为是这一关系的部分中介因素,它们共同产生了-0.413的中介效应,占总效应的50.0%:研究结果阐明了影响中国早产儿父母参与共同决策的多方面因素模型。对这些变量的及时识别可使护理专业人员在以患者为中心的护理框架内采用有针对性的管理策略,从而提高决策结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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